| Canton Primary Care Clinic | |
|
1883 Highway 43 S Suite D Canton MS 39046-8405 | |
| (601) 667-3492 | |
| (601) 667-3510 |
| Full Name | Canton Primary Care Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1883 Highway 43 S, Canton, Mississippi |
| Authorized Official Name and Position | Louis Saddler (MANAGER) |
| Authorized Official Contact | 6016673492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Primary Care Clinic 1883 Highway 43 S Suite D Canton MS 39046-8405 Ph: (601) 667-3492 | Canton Primary Care Clinic 1883 Highway 43 S Suite D Canton MS 39046-8405 Ph: (601) 667-3492 |
| NPI Number | 1629301536 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629301536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 08627 (Mississippi) | Primary |
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